<?php
/* @var $this FundusController */
/* @var $model Fundus */
/* @var $form CActiveForm */
?>

<div class="wide form">

<?php $form=$this->beginWidget('CActiveForm', array(
	'action'=>Yii::app()->createUrl($this->route),
	'method'=>'get',
)); ?>

	<div class="row">
		<?php echo $form->label($model,'id'); ?>
		<?php echo $form->textField($model,'id'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'medis_od'); ?>
		<?php echo $form->textField($model,'medis_od',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'media_os'); ?>
		<?php echo $form->textField($model,'media_os',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'disc_od'); ?>
		<?php echo $form->textField($model,'disc_od',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'disk_os'); ?>
		<?php echo $form->textField($model,'disk_os',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'cup_od'); ?>
		<?php echo $form->textField($model,'cup_od',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'cup_os'); ?>
		<?php echo $form->textField($model,'cup_os',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'vessels_od'); ?>
		<?php echo $form->textField($model,'vessels_od',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'vessels_os'); ?>
		<?php echo $form->textField($model,'vessels_os',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'periphery_od'); ?>
		<?php echo $form->textField($model,'periphery_od',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'preiprhery_os'); ?>
		<?php echo $form->textField($model,'preiprhery_os',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'macula_od'); ?>
		<?php echo $form->textField($model,'macula_od',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'macula_os'); ?>
		<?php echo $form->textField($model,'macula_os',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'rx_id'); ?>
		<?php echo $form->textField($model,'rx_id'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'personalinfo_id'); ?>
		<?php echo $form->textField($model,'personalinfo_id'); ?>
	</div>

	<div class="row buttons">
		<?php echo CHtml::submitButton('Search'); ?>
	</div>

<?php $this->endWidget(); ?>

</div><!-- search-form -->